NPI | 1154086841 |
---|---|
Doing Business As | DIRECTCLINIC |
Entity Type | Organization |
Authorized Contact | SUDHAKAR SANTHANA KRISHNAN CEO 260-750-0418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-30 |